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<br />A
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />1 DATE
<br />.il 10/3/2010
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsements .
<br />PRODUCER CONTACT
<br />NAME:
<br />Marsh, Inc.
<br />
<br />1166 A A/C No Ext: 212 345-5000 AIC No):
<br />-
<br />venue of the Americas E-MAIL
<br />New York
<br />NY 10036 ADDRESS-
<br />,
<br />- --
<br />PRODUCER
<br /> CUSTOMER ID #:
<br /> --INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURED INSURER A: AGCS Marine Insurance Company (Allianz)
<br />SimplexGrinnell, LP INSURER B: CHARTIS CASUALTY COMPANY
<br />1701 WEST SEQUOIA AVE INSURER C: Commerce & Industry Ins Co.
<br />ORANGE, CA 92868 INSURER D: Illinois National Insurance Co.
<br />United States INSURER E: Nat'l Union Fire Ins Co. of Pittsburgh, PA
<br /> INSURER F: New Hampshire Ins. Co.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
<br />,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR TYPE OF INSURANCE 'ADDL SUBR''
<br />POLICY NUMBER POLICY EFF
<br />MMlDD/YYYY POLICY EXP '.. -
<br />MM/DD /YYYY LIMITS
<br />F GENERAL LIABILITY GL 4360884 (Primary GL) 10!1/2010 10/1/2011 EACH OCCURRENCE
<br />- $1,000,000.00
<br />X COMMERCIAL GENERAL LIABILITY DAMAGE
<br />TO RENTED
<br /> P
<br />REMISES (Ea occurrence) $1,000,000.00
<br />CLAIMS-MADE L K - OCCUR
<br /> M
<br />ED EXP (Any one person) $10,000.00
<br /> OWNER'S & CONTRACTOR'S r
<br />PERSONAL & ADV INJURY $1,000,000.00
<br /> _ GENERAL AGGREGATE $2,000,000.00
<br /> GENT AGGREGATE LIMIT APPLIES PER: : PRODUCTS - COMP/OP AGG $2,000,000.00
<br /> X POLICY PRO- LOC
<br />E AUTOMOBILE LIABILITY I'1 CA 3976576 (VA) 10/1/2010 10/1/2011 COMBINED SINGLE LIMIT $1,000,000.00
<br />E X ANY AUTO CA 3976575 (AOS) 10/1/2010 10/1/2011 (Each accident)
<br />E
<br />F
<br />ALL OWNED AUTOS
<br />! CA 3976577 (MA) 10!1/2010 10/1/2011 BODILY INJURY (Per person)
<br />-
<br />SCHEDULED AUTOS CA 3976624 (NH) (Primary AL) 10/1/2010 10/1/2011 BODILY INJURY (Per accident '
<br />
<br />X
<br />HIRED AUTOS .
<br />\ 1" [ROWED AS TO FQ' RM PROPERTY DAMAGE
<br />(Per accident)
<br /> X NON-OWNED AUTOS ' NEW HAMPSHIRE (CSL) $250,000
<br />
<br /> UMBRELLA LIAR OCCUR
<br />I EACH OCCURRENCE
<br /> EXCESS LIAB
<br />CLAIMS-MADE
<br />- aura. S;
<br />i d
<br />ea Y
<br />(
<br />
<br />AGGREGATE -
<br /> DEDUCTIBLE AssisLani. C1 AIIOrne
<br /> , PRODUCTS - COMP/OP AGG
<br /> RETENTION $ NEW HAMPSHIRE (CSL)
<br />B WORKERS COMPENSATION W 49 17 T, A,PA, ) 1/2010 110/1/2011 X WCSTATU- OTH-
<br />C AND EMPLOYERS' LIABILITY Y / N WC 026149514 (FL) 10/1/2010 10/1/2011 TORY LIMIT ER
<br />D ANY PROPRIETOR/PARTNER/EXECUTIVE WC 026149516
<br />MI
<br />
<br />OFFICER/MEMBER EXCLUDED?
<br />El
<br />N I A (
<br />) 10/1/2010 10/1/2011 E.L. EACH ACCIDENT $2,000,000.00
<br />
<br />E
<br />F
<br />(Mandatory in NH)
<br />If yes
<br />describe under WC 026149513 (CA)
<br />) 1
<br />WC 026149518 (MA
<br />ND
<br />NY
<br />OH
<br />10/1!2010
<br />10/1/2010
<br />1011/2011
<br />10/1/2011
<br />1 1 . DISEASE - EA EMPLOYE $2,000,000.00
<br />-
<br /> ,
<br />DESCRIPTION OF OPERATIONS below ,
<br />,
<br />,
<br />,
<br />WA, WI, WY E.L. DISEASE -POLICY LIMIT 52,000,000.00
<br />A Builder's Risk/installation/Contract Works OC & OCW 91128600 5/1/2010 5/1!2011 USD $1,000,000.00 per jobsite
<br />A Rental Equipment/Contractor's Equipment OC & OCW 91128600 5/1/2010 5/1/2011 USD $1,000,000.00 per jobsite
<br />Blanket r 600 1 5/1/2011
<br />1 conveyance .000,000.00 r)er
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Project: ACCESS CONTROL SYSTEM AT SANTA ANA POLICE DEPARTMENT
<br />Please refer to attached ACORD 101 for further remarks.
<br />SANTA ANA POLICE DEPARTMENT
<br />60 CIVIC CENTER PLAZA
<br />SANTA ANA, 92710
<br />United States
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />MARSH USA INC, BY.
<br />14J
<br />Franklin Hallock, Global Marine
<br />V 19SS-2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
<br />Generated by EXIGIS LLC. For more information visit www.exigis.com.
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